Opioid Use Disorder (OUD) is a condition where people become dependent on opioids, which are a type of drug. This study aims to help people in rural Georgia who have OUD by using telehealth, which is like a video call with a doctor. The study will happen in Emergency Departments (EDs) in Georgia, where patients with OUD can talk to a special doctor called a medical toxicologist through telehealth. This doctor helps start treatment using a medicine called MOUD (Medication for Opioid Use Disorder), such as buprenorphine, which helps people stop using opioids. Patients will also meet with a peer recovery coach (PRC) who offers support and checks in with them later to see how they are doing.

Key points:

• The study involves multiple visits to rural EDs.
• Participants need to be at least 18 years old and medically stable.
• Minimal risk with potential benefits in managing OUD.